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20140186 Permit Pkg 06092014 �pF �H�p� City of Yelm Permit No.: 20140186 7 � � Community Development Department Issue Date: 6/09/2014 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 LM "`"'""Q" Fax: (360)458-3144 Applicant: Name: VET BIZ REAL ESTATE, LLC Phone: 360-458-7707 Address: 1133 14TH AVE LONGVIEW WA 98632 Property Information: Site Address: 1120 YELM AVE W Owner: PET BIZ REAL ESTATE, LLC Assessor Parcel No.: 99000763000 Subdivision: Lot: Contractor Information: Name: MILLER CONSTRUCTION Phone: Address: 22346 HOBSON RD SE YELM WA 98597 Contractor License No.: CCMILLEC"121NK Expires: 1/31/2015 Project Information: Project: COMMERCIAL REMODEL Description of Work: COUNTER REMODEL AND ADD 2 OFFICES Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING MILIER CONSTRUCTION $ 978.86 TOTAL FEES: $ 978.86 ApplicanYs Affidavit: OFFICIAL USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm regulations including those governing zoning and land subdivision, and in addition,all covenants, easements and restrictions of record. If applying as a contrador,I further certify that I am currently Final Inspection: registered in the State of W�•'_" 'n. I�� Signature � Date V �� Date: Firm By Cit� of Y�lm (36 } 458-�402 F�EC#. 001618?9 6/09j2014 4:16 PM OPER: CO TERM: 001 REF#: 5482 TRAN: 33.OUOQ �UTLQTNG PEkMIT5 20140186 978.8bCR � VET BIZ REAL ESTATE, LLC 112U YELM AVE W BLDG 978.86CR TRAN: 30.0000 BUSINESS LICENSE MILLEt� CON7RUCTTON BUSINESS LICENSES & 30,�OCR 1�END�.REU: 1,008.86 CHECK APPL�ED: 1,008.86- CHANGE: O.Oq 2ot � Dl�l� CITY OF YELM COMMERCIAL BUILDING PERMIT APPLICATION FORM , t �� },«. .�.� 3�,���s Project Address: ���C �t�r`� ��{ �� Parcel#: � �C'�'" ��r��t�. �`i �-Z.,-� C1L'`�i fl�� p �i'�-� ��� /�( Zoning; �Zs��-tt>S�c�r'�}1 _CurrentUse: �t` Pro osed Use: = New Construction �Re-Model/ Re-Roof/Tenant Improvement -: Plumbing _ Mechanical ':l Fire Prevent/Suppress/Alarm - Other Project DescriptionlScope of Work: Ac��� � L'C���`S� Y��'"1%�(�� ��t S�t w> ���f t-'f���� Project Value:���,��``� Building Area(sq. ft) Parking� 1`j 3�Z 1�` Floor �S� �`° 2nd Floor � 3`d Floor•�"" Building Height �,� Are there any environmentally sensitive areas located on the parcel? N�- If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER/TENANT NAME: � �� r� �>t�� LL�- ADDR SS [J '3�3 I�I�' t1 V�- EMAIL z r�c U���C < �.1a+ � c��r� CITY �-� s.�<.�� STATE ;,��'1" ZIP�TELEPHONE �(�L�- !-lS���}�'7- ARCHITECT/ENGINEER LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE , GENERALCONTRAC ORY►1I�<< �'�">7r'"� '�'� TELEPHONE SG�� � =] �'��—�-.�- ; ADDRESS "� 1:�_�c v '� �- EMAIL 'L I+Vti II<4Z ('' �"+'irA:�^rr tit/°' I CITY '�zC w� STATE �'�� ZIP '] ?i���FAX " - `�1�"� ' CONTRACTOR'S LICENSE#M����u Ni� EXP DATE �Y LICENSE# 131� ' PLUMBING CONTRACTOR �" TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX � CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# �t."Y� Copy of City Mitigation documentation(TFC). I hereby ce�tify that the above information is correct and that the construction on,and the occupancy and the use ot the above described property will be in accordance with the laws,rules and regulations of the State of Washington and the City of Yelm. ,;�>��, C I��-�l� s�3�� ►Y ApplicanYs Signa re Date Owner/Contractor/Owner's Agent i Contractor's Agent I Tenant (Please circie one.j All permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days - � (360)458-3835 105 Yelm Aue W (360)458-3111 FAX Yelm, WA 98597 wu�w.ci.yelm.cua.us �x" � c�t � � O cd � � � � ~ � � O 00 O �'' U N � U °� � � � �U O '-� N r' �~ � �, U cv > .}, ,,` �. Z "—� � �' � W � �' o � °' � C? � o � � w s Q ��:�, U � r; .� Q C,� Q � � W : Uo � � ,`.♦ .? �� � U `° � '� �.' � .,� o � � � �� � � � �� � � � t� ..� : W W : 3 � � : � � � y F i i ; �bt*" ix),,L^�� ��,�.g ,d R � < Cn � �. . , :>: . 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